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[Cow's milk protein intolerance as a cause of small bowel occlusion]

K Pittschieler

    Helvetica Paediatrica Acta
    |December 1, 1986
    PubMed

    Insights

    Cow's milk protein formula can cause acute small bowel obstruction in infants. Removing the allergen resolved symptoms, confirming a cow's milk protein allergy as the cause.

    Area of Science:

    • Pediatric Gastroenterology
    • Allergy Immunology
    • Neonatal Nutrition

    Context:

    • Infants presenting with acute small bowel obstruction.
    • Early introduction of cow's milk protein-based formula.
    • Clinical and radiological evidence of obstruction.

    Purpose:

    • To investigate the role of cow's milk protein in acute small bowel obstruction in infants.
    • To assess the efficacy of allergen withdrawal in managing this condition.

    Summary:

    • Two infants experienced acute small bowel obstruction linked to early cow's milk protein formula feeding.
    • Symptom resolution occurred rapidly upon allergen removal, without surgery.
    • Re-challenge confirmed cow's milk protein as the causative agent for the allergic reaction.

    Impact:

    • Highlights cow's milk protein allergy as a potential cause of infant bowel obstruction.
    • Demonstrates the effectiveness of dietary management in such cases.
    • Emphasizes the importance of considering allergic reactions in neonatal intestinal emergencies.

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